DR. TANIYA PRADHAN M.D.
NPI 1275709859
Psychiatry & Neurology - Psychiatry in Ottumwa, IA
About Dr. Taniya Pradhan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TANIYA PRADHAN M.D. (NPI 1275709859) is an individual psychiatry provider in Ottumwa, Iowa, licensed in Michigan (EMC0001038) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Taniya Pradhan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
26Medicare enrollment records show Taniya Pradhan reassigns Medicare billing to 26 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Wichita, KS 67206
- Reassigned Medicare billing, Kansas enrollment
- 208 clinicians in this Medicare group
Centreville, MI 49032
- Reassigned Medicare billing, Michigan enrollment
- 38 clinicians in this Medicare group
Barnsdall, OK 74002
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 193 clinicians in this Medicare group
Memphis, TN 38125
- Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
- 95 clinicians in this Medicare group
Lyles, TN 37098
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Saint Thomas Hickman Hospital
- 86 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 1,304 clinicians in this Medicare group
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 1,886 clinicians in this Medicare group
Cookeville, TN 38501
- Reassigned Medicare billing, Tennessee enrollment
- 151 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GAUnited Hospital Center, Inc
Acute Care Hospitals · Bridgeport, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OTTUMWA, IA 52501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Taniya Pradhan's NPI number?
The NPI number for Taniya Pradhan is 1275709859. It was assigned to this individual provider in the NPPES registry on May 5, 2008.
Where is Taniya Pradhan located?
Taniya Pradhan practices at 1001 Pennsylvania Ave, Ottumwa, IA 52501. The listed phone number is (641) 684-2300.
What is Taniya Pradhan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Taniya Pradhan enrolled in Medicare?
Yes. Taniya Pradhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Taniya Pradhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taniya Pradhan reassigns Medicare benefits to 26 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI), Ascension Via Christi Hospitals Wichita Inc. (Wichita, KS), Community Mental Health Services Of St Joseph County (Centreville, MI), St. John Physicians, Inc (Barnsdall, OK), Baptist Health Services (Fort Smith, AR) and 21 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taniya Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Taniya Pradhan accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Kansas, Inc. and 16 other insurers list Taniya Pradhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Taniya Pradhan affiliated with any hospitals?
According to CMS data, Taniya Pradhan is affiliated with Atrium Health Floyd Medical Center and United Hospital Center, Inc.
When was this NPI record last updated?
The NPPES record for Taniya Pradhan was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Taniya Pradhan, M.D. · NPI 1275709859
Psychiatry physician in Ottumwa, Iowa. Individual provider, active in the CMS NPPES registry since May 5, 2008.
## Identity
- **NPI:** 1275709859 (Entity type: Individual)
- **Enumerated:** May 5, 2008
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** EMC0001038 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 PENNSYLVANIA AVE, Ottumwa, IA 52501-6427
- **Phone:** (641) 684-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 26 organizations under Medicare reassignment (form CMS-855R): Ascension Medical Group-Southeast Wisconsin Inc (NPI 1609881077, Glendale, WI); Ascension Via Christi Hospitals Wichita Inc. (NPI 1831185065, Wichita, KS); Community Mental Health Services Of St Joseph County (NPI 1366438483, Centreville, MI); St. John Physicians, Inc (NPI 1033176367, Barnsdall, OK); Baptist Health Services (NPI 1750856043, Fort Smith, AR); and 21 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** April 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275709859) · Data from the CMS NPPES public registry.